Background Participation of men in Maternal and Child Health (MCH) is crucial for the reduction of infant and maternal mortality. Men may be influential in making health care decisions that may affect their female partner’s access to health care services, but also as individuals, whose health status has a significant impact on the health of their partners’ and that of their children. However, male involvement is still inadequate due to various reasons. This paper sought to explore the community perspectives towards participation of men in maternal and child health care in Kabale District, Western Uganda. Methods The study used a case study approach. Household questionnaires, in-depth interviews, focus group discussions, direct field observation and document review were employed to collect data. One hundred and twenty-four respondents completed a household questionnaire, eight key informants took part in semi-structured interviews and thirty-six community members (two men and two women groups) participated in focus group discussions. Results The participation of men in maternal and child health care was found to be low. Patriarchal community values and norms influencing gender roles hindered male involvement in MCH. More so, sensitisation on the importance of male involvement was inadequate. Conclusion Men’s participation in MCH is affected by multiple factors emanating from the community and health institutions. Involving men in MCH is critical, and therefore participatory and comprehensive approaches should be applied to encourage participation. Sensitisation of communities is fundamental for increasing awareness of the significance of male involvement in MCH.
Background: Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the expected outcomes have not been fully realised. This study aimed at investigating challenges encountered in implementing public-private partnership institutional arrangements in health service delivery in Kinondoni Municipality, Dar es Salaam, Tanzania. Methods: A qualitative case study design was employed, where in-depth interviews with stakeholders were held and document reviews conducted. Fourteen (n = 14) participants engaged in this study. Eight (n = 8) and six (n = 6) of the fourteen participants were from the public and private sector respectively. The thematic approach was used to analyse data, and ethical principles in the research process were upheld. Results: Findings revealed that although public-private partnerships are hailed for supplementing the government's efforts in the provision of health services, institutional arrangements for the smooth provision of these services are lacking. Several challenges encumber smooth provision of health services and these include inadequate resources, ineffective monitoring and evaluation, and insufficient consultations between partners. Conclusion: Inadequate legal and policy framework, or ineffective implementation practices may influence challenges facing institutional arrangements for public-private partnerships. Therefore, strengthening of publicprivate partnerships is recommended to improve implementation mechanisms and practices such as adherence to partnership agreements and compliance to the policies, laws and regulations.
Peri-urban land governance in Tanzania and other developing countries is shaped by divergent or complimentary roles of actors emanating from their authority, power and interest which create a complex relationship affecting land governance process. This paper is built on a call for more research on governance and urban land use by scholars. The focus of this paper is to identify governance gaps arising from the roles of different actors, interaction and power relations. The paper is based on the critical review of published and unpublished literature, as well as government reports. Overlapping and complementary roles influenced by varying power relations and interests among actors is revealed. This is witnessed in the Ministry of Lands and Local Government Authorities (LGAs) and between the private sector and land occupiers. The former is associated with the ministry's reluctance to share power with LGAs, perpetuated by conflicting laws and regulations, while the latter is attributed to economic power of investors versus the vulnerable groups. Recognising the implication of the participation of various actors is not only critical in improving the interactions and harmony among actors, but also enacting appropriate legal and institutional Urban Forum (2019) 30:1-16 https://doi.org/10.1007/s12132-018-9339-2 Key Message 1. Back and forth information from actors forms an important ingredient for peri-urban land governance. 2. The need for coordination and communication between actors regarding their mission, strategy and values is very important. 3. Effort to build trust among actors emerged as an important component to be given attention because land is a competitive resource in peri-urban areas.frameworks to regularise both formal and informal actors in order to improve periurban land governance henceforth.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.